Urinalysis at Mount St. Mary's Hospital. CPT 81001.
What Mount St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.07cash price (self-pay)
$8.00list price
$1.43–$10.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| INDEPENDENT HEALTH MEDICARE [450122] | IHA Medicare Group [45012205] | $2.63 |
| United Healthcare Medicare [450021] | UHC Dual Complete Rppo-Snp [4500 | $2.64 |
| Independent Health [100165] | Commercial Iha 44 [10016501] | $2.67 |
| Fidelis Medicaid [350105] | Child Health Plus Fidelis Non Medicaid [35 | $3.01 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 3 And 4 | $3.17 |
| Medicaid Out Of State [309999] | Medicaid Maine [30999907] | $3.17 |
| Medicaid Out Of State [309999] | Medicaid Out Of State [30999901] | $3.17 |
| Medicare [400001] | Medicare Part A [40000102] | $3.17 |
| Medicare HMO Other [450117] | Centers Plan For Healthy Living [4501170 | $3.17 |
| Molina Medicaid [350107] | Affinity Molina Medicaid [35010705] | $3.17 |
| Wellpoint Bc Essential [101152] | Wellpoint Bc Essential Pan 1 And 2 [ | $3.17 |
| Wellpoint Bc Essential [101152] | Wellpoint Bc Essential Plan 200-250 | $3.17 |
| Wellpoint Bc Medicaid [351102] | Wellpoint Bc Medicaid [35110201] | $3.17 |
| Humana Medicare [450130] | Humana Medicare PPO [45013003] | $3.25 |
| BCBS Community Blue [100173] | POS Align Select [10017312] | $3.30 |
| Wellcare [450129] | Wellcare Liberty [45012902] | $3.41 |
| Univera Healthcare Medicare [450124] | Univera Medicare Dual [45012403 | $3.45 |
| Blue Cross/Blue Shield [100151] | PPO B/C [10015111] | $3.66 |
| Baker/Confectionary Union [100158] | Baker/Confectionary Union [100158 | $3.71 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 1 And 2 | $3.80 |
| Fidelis Essential [100163] | Fidelis Essential Plan 3 And 4 [10016302] | $4.75 |
| Fidelis Essential [100163] | Fidelis Essential Plan 200-250 [10016303] | $5.23 |
| Cigna [100009] | Cigna Great West [10000902] | $5.58 |
| Workers Compensation [500101] | Em Risk Management [50010105] | $6.26 |
| WORKERS COMPENSATION [500101] | FCS Administrators [5005002] | $6.26 |
| WORKERS COMPENSATION [500101] | Futurecomp [5005007] | $6.26 |
| Workers Compensation [500101] | Mac Risk Management [50010106] | $6.26 |
| WORKERS COMPENSATION [500101] | New York Black Car Fund [5005004] | $6.26 |
| WORKERS COMPENSATION [500101] | Normandy Insurance Services [5005008] | $6.26 |
| WORKERS COMPENSATION [500101] | PMA Insurance [5005001] | $6.26 |
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